Assessing compliance to home relaxation: A simple technology for a critical problem

Martin, John E.; Collins, Frank L.; Hillenberg, J. Bruce; Zabin, Miriam A.; Katell, Alan David

doi:10.1007/bf01353058

Cited by 12 publications

(6 citation statements)

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“…This is questionable in instances when the counselors admitted merely guessing (4%) whether the clients had performed the homework that was assigned and in others surmising without direct knowledge (10%). Even when clients volunteered information or were asked directly whether they performed the assigned task, the veracity of the answers is in doubt (Collins et al, 1982; Hoelscher et al, 1984; J. Martin et al, 1981).…”

Section: Discussionmentioning

confidence: 99%

“…For example, often only a moderate relation is found between client self-report of practice in deep muscle relaxation and performance measures of relaxation (Lewis, Biglan, & Steinbeck, 1978; Lyles, Burish, Krozely, & Oldham, 1982; Zuroff & Schwartz, 1978). Clients sometimes exaggerate their reports of compliance with homework (Collins, Martin, & Hillenberg, 1982; Hoelscher, Lichstein, & Rosenthal, 1984; J. Martin, Collins, Hillenberg, Zabin, & Katell, 1981).…”

Section: Difficulties In Conducting Empirical Research On Compliancementioning

confidence: 99%

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Client compliance with homework directives during counseling.

Worthington

1986

Journal of Counseling Psychology

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Compliance with homework directives in counseling has often been theorized about but seldom researched. The present study investigated compliance of 61 clients, using 18 postmaster's degree counselors in a community counseling agency for adults. Compliance was investigated as a function of counselor variables, client variables, and therapy variables. Neither counselor ability nor specific counseling skills was related to client compliance. Initial severity of client problems was related to outcome but not to compliance. Clients who remained in counseling had better compliance than those who terminated early. Whether clients presented career or personal-emotional problems was unrelated to compliance. Therapy variables that predicted compliance included assignments given early in counseling, a history of compliance, and whether counselors checked their client's attitude about homework and did not stress their own status. This study suggests that variables associated with the conduct of counseling more strongly influence compliance with homework than do either counselor or client variables.Compliance has been defined in a number of different ways, but Haynes (1979) provided a succinct, workable definition: "the extent to which a person's behavior . . . coincides with medical or health advice" (pp. 2-3). Although Haynes was strictly discussing adherence or compliance with medical directives, this definition might be applied to homework directives or to suggestions given by counselors in career or personal-emotional counseling.Researchers have often theorized about compliance (and its counterpart resistance) but have infrequently investigated its presence in counseling (for reviews see Davidson, 1976;G. Martin & Worthington, 1982;Shelton & Levy, 1981). Empirical research has lagged behind theoretical work. Extant research has come from three general areas: (a) extension of findings related to health care, medical problems, and adherence to medical regimens; (b) analogue investigations into social influence theory (Corrigan, Dell, Lewis, & Schmidt, 1980;G. Martin & Worthington, 1985); and (c) behavioral and cognitive-behavioral counselors who have primarily investigated self-control problems (e.g., weight control, smoking cessation, or muscular relaxation; see Stuart, 1982). Few researchers have investigated clients in a community-based mental health setting. None has investigated compliance with directives of the private practitioner. Difficulties in Conducting Empirical Research on ComplianceLittle research has been done on compliance in career and personal-emotional counseling due to the difficulties in measuringThe data analysis and writing of this article were funded through a Virginia Commonwealth University Faculty Grant-in-Aid.Thanks are extended to the following people: Teresa Buczek and Sara Beck, who assisted in rating counselors and folders; Constance Google, who assisted in data analysis; Stephen Robbins, who read and commented on an earlier draft of the article; and the practicum counselors who provided d...

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Section: Discussionmentioning

confidence: 99%

Section: Difficulties In Conducting Empirical Research On Compliancementioning

confidence: 99%

Client compliance with homework directives during counseling.

Worthington

1986

Journal of Counseling Psychology

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“…A direct measure of relaxation practice would obviously be preferable. Martin, Collins, Hillenberg, Zabin, and Katell (1981) used a short tone placed at various points on a relaxation tape to monitor adherence. Subjects were given a sequence of tapes to be played in order and were asked to note if they heard a tone.…”

mentioning

confidence: 99%

Adherence to Instructions to Practice Relaxation Exercises.

Taylor

Agras

Schneider

et al. 1983

Journal of Consulting and Clinical Psychology

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“…In the present paper, we report a further development of the technique of Martin et al (1981): Monitoring of the "relaxation word of the day." The relaxation word of the day was designed to provide a mental stimulus during brief periods of applied relaxation in the patient's natural environment, as well as an adherence measure.…”

mentioning

confidence: 97%

“…Martin et al (1981) and Collins et al (1982) described a system'for measuring adherence in which subjects were required to identify a varying number of cue tones dubbed over the relaxation instruction. This system has the advantage of requiring the subject to actually listen to the tape but could be viewed as somewhat artificial and not well integrated into the overall therapeutic objective for relaxation therapy.…”

mentioning

confidence: 99%

The relaxation word of the day: A simple technique to measure adherence to relaxation

Jacob

Beidel

Shapiro

1984

Journal of Behavioral Assessment

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A new procedure of assessing adherence to home practice of relaxation is presented. The technique involvedthe subject identifying one of four possible "relaxation words of the day" at the end of a taped relaxation session. The method was employed to assess the relationship between adherence to relaxation and decline of blood pressure during a lO-session/8-week relaxation program involving 17 hypertensive subjects. No statistically significant relationship was found on either a short-term or a long-term basis. An advantage of the assessment technique is that it appears easily integrated intothe overall therapeutic objective for relaxation therapy," a disadvantage is that the subject needs to comply not only with the relaxation schedule but also with the monitoring procedure.

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Assessing compliance to home relaxation: A simple technology for a critical problem

Cited by 12 publications

References 4 publications

Client compliance with homework directives during counseling.

Client compliance with homework directives during counseling.

Adherence to Instructions to Practice Relaxation Exercises.

The relaxation word of the day: A simple technique to measure adherence to relaxation

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